Complex Claims Specialist-MPL
About The Position
Individual contributor role responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception to resolution. This involves the negotiation and settlement of Miscellaneous Professional Liability insurance claims. May be responsible for single or multi-country claims and will be responsible for all aspects of the claims, including liaise with external and internal business partners (e.g., outside experts and/or or legal counsel; underwriting) as required. Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization. Please note that this position is hybrid and requires two (2) days in office weekly. Position can be based in the following locations: Manhattan, NY West Hartford, CT Atlanta, GA Chicago, IL Boston, MA The Role: The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:
Requirements
- 8+ years of claims handling experience or 7-8 years litigation experience. (A JD from an ABA accredited law school may be considered as a supplement to claims handling experience.)
- Proven ability to positively affect complex claims outcomes through investigation, negotiation and effectively leading litigation
- Advanced knowledge of coverage within the team’s specialty or focus
- Advanced knowledge of litigation process and negotiation skills
- Experience in mentoring and training other claims examiners
- Excellent verbal and written communication skills
- Advanced analytical skills
- B.A./B.S degree from an accredited College or University preferred
Nice To Haves
- Ability to act a subject matter expert within team
- Demonstrated ability to work with minimal oversight
- Experience attending and leading mediations, arbitrations and trials
- Demonstrated ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects
- Demonstrates courage in addressing and solving difficult or complex matters with insureds, attorneys and brokers
- Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation
- Commitment to professional development and learning demonstrated by at least 5 hours of continuing education related to insurance topics through Success Factory, Hiscox in-person or video conference training sessions, or other in-person seminars or webinars.
Responsibilities
- Adjusts and resolves complex to severe claims that includes all phases of litigation
- With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters
- Reviews and analyses claim documentation and legal filings
- Drives litigation best practices to lead defense strategy on litigated files
- Mentors Claim Examiners
- Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions
- Identifies emerging exposures and claims trends
- Identifies suspected fraudulent claims and tracks with special investigations unit
- Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
- Develops content and conducts training for claims team and underwriters as requested
Benefits
- 401(k) with competitive company matching
- Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
- Company paid group term life, short- term disability and long-term disability coverage
- 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days
- Paid parental leave
- 4-week paid sabbatical after every 5 years of service
- Financial Adoption Assistance and Medical Travel Reimbursement Programs
- Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
- Company paid subscription to Headspace to support employees’ mental health and wellbeing
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
